Summary
Although ankle sprains are probably the most common injury in adolescent sports people, epiphyseal injuries are missed on the presumption of a ligamentous tear. The risk of damaged ligaments has been over-emphasized while the potentially dangerous epiphyseolysis has been understressed. An oblique X-ray of the ankle joint is indicated prior to “stress” pictures.
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Heim, M., Blankstein, A., Israeli, A. et al. Which X-ray views are required in juvenile ankle trauma?. Arch Orthop Trauma Surg 109, 175–176 (1990). https://doi.org/10.1007/BF00440583
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DOI: https://doi.org/10.1007/BF00440583